50D2162656 CLIA NUMBER - QUEEN ANNE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 50D2162656
  • Facility Name: QUEEN ANNE RETIREMENT COMMUNITY
  • Facility Address: 805 5TH AVE N
    SEATTLE, WA
    ZIP 98109
  • Facility Phone: 206 284-0055
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMMIE BENNETT
  • NPI Number: 1043756802
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2162656
LAB Type Assisted Living Facility
Facility Name QUEEN ANNE RETIREMENT COMMUNITY
Street 805 5TH AVE N
City SEATTLE
State WA
ZIP 98109
Phone 206 284-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2019
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director TAMMIE BENNETT

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This page was last updated on: 9/29/2025